Marc Christopher Cassella Jr., PHARM.D.
Individual provider Active NPI Pharmacist · Latrobe, PA
NPI 1205299682 · NPPES record last updated Apr 1, 2016
Key facts
- NPI
- 1205299682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP449977 (PA)
- Practice address
- 1072 Mountain Laurel PLZ
Latrobe, PA 15650-5214 - Phone
- (724) 537-9412
- Fax
- (847) 396-2752
- NPI assigned
- Apr 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP449977 | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP449977 | PA | Yes |
Addresses
Primary practice location
1072 Mountain Laurel PLZ
Latrobe, PA 15650-5214
Mailing address
1072 Mountain Laurel PLZ
Latrobe, PA 15650-5214
Phone (724) 537-9412
Other providers in Latrobe, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.